Work Set-Up: ONSITE

Work Schedule: Nightshift schedule

Work Location: Onsite – Alabang Corporate Center

Salary: Php: 30,000

• 15% Night Diff
• HMO Day 1 and 1 free dependent

Qualifications

• Bachelor’s Degree in any field.
• At least 2 years of experience in a Healthcare BPO environment.
• Proven experience handling inbound calls within a healthcare account.
• Familiarity with medical claims, eligibility verification, and denial management processes.
• Strong command of medical terminology.
• Excellent verbal and written communication skills.
• Strong interpersonal and customer service skills.
• Ability to work independently with minimal supervision.
• High level of accuracy, attention to detail, and organizational skills.
• Proficient in Microsoft Office and other computer application systems.

Job Summary

• We are looking for experienced and detail-oriented Medical Claims Associates to join our growing contact center team in Alabang.
• The ideal candidates will have a strong background in healthcare BPO operations, particularly in handling inbound calls related to medical claims, eligibility verification, and claim status updates.
• You will serve as a key liaison between patients, providers, and insurance companies, ensuring accurate, efficient, and customer-focused service delivery.

Key Responsibilities

• Handle inbound calls from patients, providers, and insurance representatives regarding medical claims, eligibility, and benefits.
• Review, interpret, and explain claim denials and status updates in a clear and professional manner.
• Accurately document all call interactions and actions taken in the system.
• Ensure compliance with HIPAA and other healthcare privacy standards.
• Collaborate with internal teams to resolve claim discrepancies or process issues.
• Maintain a high level of accuracy and attention to detail in all transactions.
• Meet or exceed daily, weekly, and monthly performance targets.
• Continuously update knowledge of medical terminology, insurance policies, and claim processing protocols.